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Organization
PROFESSIONAL MEDICAL SERVICES & MANAGEMENT INC.
Active
Organization
PROFESSIONAL MEDICAL SERVICES & MANAGEMENT INC.
Active
Other names
Vida Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY LOPEZ (PRESIDENT/ CEO)
(786) 360-4528
Entity
Organization
Contact information
Practice address
315 W 9TH ST FL 2, HIALEAH, FL 33010-3853
(786) 360-4528
(786) 360-4529
Mailing address
14901 NW 79 CT, 2ND FLOOR, MIAMI LAKES, FL 33016-5856
(305) 269-7887
(786) 219-4300
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
FL
261Q00000X
Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/25/2011
Last updated
10/15/2026
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